| NPI | 1033049697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTIN KUDINOV Manager 213-245-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2026-05-22 |
| Last Update Date | 2026-06-23 |