| NPI | 1932695079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSAK KLTCHIAN Md / President 323-661-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A52368) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |