| NPI | 1104355106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARDAD MOBIN President 310-997-1796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA 61426) |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-07-21 |