| NPI | 1861422941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZITA PAKRAVAN CEO 310-854-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA W14266) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: CA W14266) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-02-04 |