| NPI | 1265786560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHEIL LAHIJANI Owner 310-550-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 208600000X Surgery | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |