| NPI | 1821163304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOUD YAZDI Owner Medical Director 337-233-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: LA 261Q00000X) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |