| NPI | 1932150224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEVON ANTOSSYAN Owener Physician 818-551-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A053324) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-12-20 |