| NPI | 1518257310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE M KHALILI Medical Director 310-746-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |