| NPI | 1528844578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARAPET DERMENDJIAN Medical Director 424-600-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |