| NPI | 1831539485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARDIA ANVAR President 310-445-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208600000X Surgery | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-06-22 |