| NPI | 1871168625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS BAGDASARIAN Authorized Official 818-409-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2021-05-24 |