| NPI | 1962573311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHAREH BAHADORI KHAVARIAN President 949-916-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a79841) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |