| NPI | 1730863804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK EGHBALIEH Managing Partner 818-900-6480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| 213E00000X Podiatrist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-15 |