| NPI | 1851805717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMANUEL KHALILI CEO/ Md 424-355-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A128772) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2023-07-28 |