| NPI | 1215264783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE SHEIBANI CEO 310-890-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207L00000X Anesthesiology | |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 207Y00000X Otolaryngology | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2082S0105X Plastic Surgery Surgery of the Hand | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 208800000X Urology | |
| 208C00000X Colon & Rectal Surgery | |
| 208D00000X General Practice | |
| 208VP0000X Pain Medicine Pain Medicine | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |