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 |