| NPI | 1669603296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL RAMAN DEV CEO 661-327-2101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: CA A63639) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| 207R00000X Internal Medicine | |
| 208200000X Plastic Surgery | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2020-04-01 |