| NPI | 1619347663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG BESS Director 323-934-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207V00000X Obstetrics & Gynecology | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |