| NPI | 1962718825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOFTAKHAR PARHAM Medical Doctor 213-427-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A112460) |
| Enumeration Date | 2010-08-29 |
| Last Update Date | 2010-08-29 |