| NPI | 1083068423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS NGUYEN President 310-550-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A84628) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-07-18 |