| NPI | 1215307822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS C KARYOTAKIS Medical Director 310-278-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |