| NPI | 1376744888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC J. KAYEM President 310-204-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A49693) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |