NPI | 1205177235 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL P. TAHERI President 310-993-8994 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2013-03-15 |
Last Update Date | 2022-07-21 |