| 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 |