| NPI | 1083070494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEDRAK Owner 310-728-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-07-13 |