| NPI | 1215688585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN LILLIAN KACHIKWU President 310-270-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |