| NPI | 1093042574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE SHEIBANI CEO 310-890-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 122300000X Dentist |
| 207K00000X Allergy & Immunology | |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 208D00000X General Practice | |
| 213E00000X Podiatrist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |