| NPI | 1952526873 |
|---|---|
| Other Name | BIOVISAGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | NILOUFAR GORMAN President CEO 323-655-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC6481) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-03-06 |