| NPI | 1881909588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASAN MASSACHI Medical Physician 310-553-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CA A108123) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2020-02-26 |