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 |