| NPI | 1083647697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUDATA HINIKA President & Surgeon 213-742-6407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A63029) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G60225) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2014-08-27 |