| NPI | 1912439894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN M MORTAZAVI Partner 805-795-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A112672) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A118331) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |