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 |