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 |