| NPI | 1558737510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAPIL GUPTA President 310-890-2855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A92432) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |