| NPI | 1821292368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASSOUD H AGAHI Medical Director 310-657-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: CA G75832) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2014-09-04 |