| NPI | 1407326606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK EGHBALIEH President 818-900-6480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-12-12 |