| NPI | 1003033341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHURUKIAN Owner 310-859-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000816) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |