| NPI | 1750732533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL F KELLY Chairman 310-477-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA FNP545334) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |