| NPI | 1871876482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OMIDI President 310-230-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |