| NPI | 1710274576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYDIN POOLI Surgery Resident 310-779-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-07-01 |