| NPI | 1790204139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOORAJ GRAVORI President 310-755-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA 75506) |
| Additional Taxonomies | 208VP0000X (Licence: CA 14719) |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2023-04-13 |