| NPI | 1619704277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIKOR B TATOYAN Md 818-373-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-25 |