| NPI | 1922840891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABAK EGHBALIEH CFO 818-900-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 2086X0206X Surgery, Surgical Oncology | |
| 208C00000X Colon & Rectal Surgery | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |