| NPI | 1235391087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE SOOKJA KIM RN Fa 310-266-8921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA RN493968) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |