| NPI | 1972799179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VACHIK SHAHNAZARIAN President 818-291-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A84308) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |