| NPI | 1063635126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR SHAHRAM MAKOUI President 310-498-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2017-06-29 |