| NPI | 1447348024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIM EBRAHIMIAN Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A88201) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A88201) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-02-19 |