| NPI | 1750920153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOORENA FATEHCHEHR CEO 310-869-3212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |