| NPI | 1902971302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFSHIN JAMES KHODABAKHSH CEO 310-550-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A85260) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |