NPI | 1285738682 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTI M. FUNK Medical Director 310-273-8002 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S551088) |
Enumeration Date | 2006-09-08 |
Last Update Date | 2016-05-18 |