NPI | 1245326974 |
---|---|
Entity Type | Organization |
Authorized Contact | ELENA JASSO Billing Manager 310-323-3041 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000895) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |