| NPI | 1538608138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HALE Director Of Accounting 310-301-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2021-06-23 |