| NPI | 1467652859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY A A CHOLLET President 818-445-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A044434) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A044434) |
| 2086S0129X (Licence: CA A044434) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2012-01-30 |