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 Pain Medicine, Pain Medicine (Licence: CA 14719) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2023-04-13 |