| NPI | 1831544055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHITRA NEELA SAMBASIVAN Physician 323-445-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: GA 73145) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |