| NPI | 1689335028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRAF M ELSAYEGH Medical Director 310-850-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-04-26 |