| NPI | 1891834552 |
|---|---|
| Doing Business As | DBA MINOR FAMILY PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | ALBERT LANCHIAN Manager 818-303-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 34954) |
| Additional Taxonomies | 231H00000X Audiologist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 363AM0700X Physician Assistant Medical (Licence: AZ 3290) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-04-07 |