| NPI | 1629413547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYVON HAKIMI JAVID President 310-539-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 48617) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2022-06-02 |