| NPI | 1306052014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIFAAT DOVER SALEM Medical Director 310-376-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G46242) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |