| NPI | 1003090978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN A. STANTON Medical Director 310-278-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C2780128) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2013-12-06 |