| NPI | 1821503863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHNAM KASHANCHI Owner 310-858-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C42282) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA C42282) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-05-09 |