| NPI | 1073801759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER G LOPEZ Managing Partner 310-292-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |