| NPI | 1649045493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAD RADY RAHBAN Medical Director 310-550-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2024-03-18 |