| NPI | 1710294277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI SADRIEH Owner 310-691-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA E4318) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2010-09-04 |