| NPI | 1245494970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE T BORIS Owner 310-204-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G27267) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |