| NPI | 1659624682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS ANNE HAPPER Managing Member 310-600-5846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |