| NPI | 1609061498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYA KOHANI President 619-232-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A64593) |
| Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: CA A50365) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |