| NPI | 1265693709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIE LEMOINE Practice Manager/Administrator 310-303-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G79768) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2026-01-29 |