| NPI | 1083255616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MAGDY YOUSSEF Owner Managing Employee 310-434-0044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-06-11 |