| NPI | 1356685457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ELLIS HOPKINS Administrator 310-953-5991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-08-28 |