| NPI | 1073705992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSAC VERBUKH President 310-301-8329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 468ASC-15) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2010-06-21 |