| NPI | 1649322405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA VENTURA Biller 310-975-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C1985589) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2023-05-31 |