NPI | 1477088540 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN H NOVACK President 310-888-8818 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 19917) |
Enumeration Date | 2017-04-26 |
Last Update Date | 2017-04-26 |