| NPI | 1154839678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN ROOHIPOUR Managing Member 310-326-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-07-21 |