NPI | 1396984936 |
---|---|
Entity Type | Organization |
Authorized Contact | VISHAL KAPOOR Medical Director 310-385-9623 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 83468) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2009-02-04 |