| NPI | 1437287117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART P JACKSON Director, Financial Services 310-449-5253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 332B00000X) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2009-07-28 |