| NPI | 1649831348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZIN MICHAEL FEIZBAKHSH Medical Director 310-855-8058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |