| NPI | 1689795312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A. BOXRUD Director 310-829-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA S051575) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2010-02-02 |