| NPI | 1962115733 |
|---|---|
| Doing Business As | NOT APPLICABLE |
| Entity Type | Organization |
| Authorized Contact | JASMINE PETROSYAN CEO 818-216-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2022-12-26 |