| NPI | 1902797715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATUL KUMAR MADAN Owner 310-596-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |