| NPI | 1649452988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK RUTHERFORD Assoc Medical Director 310-668-4501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |