| NPI | 1295137016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM EBRAHIMI President 818-422-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A060777) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |