| NPI | 1154197911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID SHIDBAN Owner 213-797-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |