| NPI | 1578873444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM ROHAM Administrator 310-621-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213E00000X Podiatrist | |
| 213ER0200X Podiatrist, Radiology | |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |