| NPI | 1720221393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI MAHTABIFARD Owner 310-652-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |