| NPI | 1851669592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA GURYANOVA Manager 310-293-8541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand (Licence: CA A36773) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |