| NPI | 1154873560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE KADZ Chairman, Governing Body 310-276-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |