| NPI | 1295873719 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARDIROS MIHRANIAN General Surgeon 818-240-1820  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA17404)  | 
| Enumeration Date | 2007-02-05 | 
| Last Update Date | 2020-08-22 |