| NPI | 1629335492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER I ZAMANIAN Md 818-240-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |