| NPI | 1508169624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A. BURRES President 323-937-1673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G54062) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2015-03-30 |