| NPI | 1376711440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY TEHRANI Billing Manager 310-672-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A32561) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2017-10-10 |