| NPI | 1932495058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHRAM TABIBIAN CEO/Owner 818-344-1329 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A40559) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2017-09-26 |