| NPI | 1538316278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRRY WEISMAN Director 310-980-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA RN440122) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2019-04-09 |