| NPI | 1255063004 |
|---|---|
| Doing Business As | OMNI AMBULATORY SURGERY CENTER, INC |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS R NIKOLOV Medical Director 310-247-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-08-03 |