NPI | 1528591591 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY DAVID HOEFFLIN CEO/President 310-998-7792 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A74133) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2017-04-06 |