| NPI | 1083322689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHRAN KHOSRANDI Member, Governing Body 310-652-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2022-11-17 |