208200000X
Van Nuys, CA
Specialty
208200000X
Credential
M.D.
NPI
1164614541
6815 Noble Ave, Van Nuys, CA 91405
(818) 901-6690Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208200000X