| NPI | 1639214778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER YACOUB Billing Office Manager 323-720-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000995) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-12-06 |