| NPI | 1952609380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIGIAR ISMAIL-ZADE Nurse Practitioner 818-404-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17605) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |