| NPI | 1386865798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA NAPORA Billing Manager 310-325-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G83221) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-05-13 |