| NPI | 1003959313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRAV C NAIK Provider 661-447-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A67017) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-11-16 |