| NPI | 1679010417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER L. BROWN Medical Director 310-348-9604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-03-10 |