| NPI | 1629265434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHODAM-RAD PAYMAN President 310-428-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A75190) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2009-01-13 |