| NPI | 1679063622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELA MICIC Sole Owner/President 213-840-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A122430) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |