| NPI | 1184098337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN DELPARASTAN Authorized Official 310-360-7368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |