| NPI | 1306031034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIFAAT DOVER SALEM Medical Director 310-802-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2012-10-25 |