| NPI | 1073272811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE S. CHAN Clinical Director 310-935-5673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2025-08-21 |