| NPI | 1376905802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY EGHBALIEH Medical Doctor 310-914-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA A133688) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |