| NPI | 1376676122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHLEO LOUIS CAMBRE President & Medical Director 310-777-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-02-12 |