| NPI | 1891561676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS BAGDASARIAN Partner 818-696-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |