| NPI | 1952582249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL AGUILERA Manager 818-781-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G15613) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA G15613) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2022-03-16 |