| NPI | 1285720656 |
|---|---|
| Former Legal Business Name | SOUTHLAND NEUROSURGICAL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID FREDERICK MORGAN Partner 310-540-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G32730) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-06-10 |