| NPI | 1609117175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BONNESS President/Owner 310-792-3914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA C55574) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |