NPI | 1639429004 |
---|---|
Entity Type | Organization |
Authorized Contact | FARZIN KERENDIAN Medical Director 310-274-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2012-09-13 |
Last Update Date | 2012-10-16 |