| NPI | 1245351865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM TZADIK Medical Director 310-305-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 930000878) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-07-22 |