| NPI | 1467747493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO CALABRIA Owner 310-777-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A43041) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |