| NPI | 1205380532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEEYAM NOBANDEGANI TEIMOORI Physician Surgeon 714-505-2093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A118840) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |