| NPI | 1235305921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYOUSH D SAADAT Md Owner 310-247-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A61184) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A61184) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |