| NPI | 1306933890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A MYLES President 818-241-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |