| NPI | 1821265273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUDATA HINIKA Owner 323-545-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A63029) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A63029) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |