| NPI | 1205448750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRAN TABAN Chairman, Gove RN Ing Body 424-247-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-10-16 |