| NPI | 1366912446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA KHODAVERDIAN President 818-482-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2023-02-03 |