| NPI | 1760525752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL H. CARVAJAL President/Md 818-243-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2014-01-08 |