| NPI | 1861116378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRISON HASANUDDIN President 626-215-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QB0002X Family Medicine, Bariatric Medicine | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |