| NPI | 1497106314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LEE Owner 310-271-5954 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 5187) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |