| NPI | 1790701548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHRAM JALALI Sole Owner 818-513-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A82712) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A82712) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-09-20 |