| NPI | 1073956595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHKAN GHAVAMI Medical Director / Owner 310-275-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-05-20 |