| NPI | 1891723607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON B RAYHANABAD General Partner 562-596-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-06-29 |