| NPI | 1487197943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HERRMANN Medical Director 310-325-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |