| NPI | 1639419104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM MACKOVIC-BASIC Medical Director 562-634-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |