NPI | 1194774737 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERIF M KHATTAB Medical Director 310-325-1644 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-05-10 |
Last Update Date | 2017-03-28 |