| NPI | 1568899177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAILO DIMOV Medical Director 310-278-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C3580319) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-12-06 |