| 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 |