| NPI | 1902444623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARDIA AARON ANVAR President 310-445-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |