| NPI | 1356061949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSER HEYRANI Owner 657-235-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2024-04-03 |