NPI | 1891332805 |
---|---|
Doing Business As | BLUE LOTUS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | PARICHEHR TABIBIAN President & CEO 818-481-1417 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
Enumeration Date | 2019-12-09 |
Last Update Date | 2023-04-20 |