| NPI | 1598462749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOOMAN SHABATIAN Director 818-774-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |