| 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 |