| NPI | 1104818715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI GHEISSARI President 213-483-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G72926) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2011-09-29 |