| NPI | 1720289069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN NEWMAN Director 310-273-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S051540) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-03-03 |