NPI | 1174362818 |
---|---|
Entity Type | Organization |
Authorized Contact | SOM KOHANZADEH President 310-429-2257 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2024-05-22 |
Last Update Date | 2024-07-22 |