| NPI | 1689957805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SOROKURS Owner 310-622-5369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |