| NPI | 1912378894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASEH NAWABI CEO 818-815-9172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: FL ME114198) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME114198) |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2016-02-11 |