| NPI | 1508881236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFFI DISHAKJIAN Sole Owner 818-888-7815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A47717) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A47717) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-06-01 |