| NPI | 1700577822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHNOOSH RAHAVARD CEO, CFO, & Secretary 310-759-1557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2025-02-25 |