| NPI | 1275118135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAISAL M GILL Legal Counsel 310-418-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |