| NPI | 1134271901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA VENTURA Biller 310-975-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C2307838) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |