| NPI | 1487667002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL LAURYSSEN Owner 310-358-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA C50914) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-02-19 |