| NPI | 1518007608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SURREY President 310-246-4628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 2029) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-03-31 |