| NPI | 1992581110 |
|---|---|
| Doing Business As | IMMUNITY CENTER |
| Entity Type | Organization |
| Authorized Contact | VILIK HARUTYUNYAN Administrator 323-793-7452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2024-02-29 |