| NPI | 1942253273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIO PEREZ President 818-500-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA N/A) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA N/A) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |