| NPI | 1689869190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM FRANCOIS RAVAN Md/President 310-858-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A40168) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |