| NPI | 1740335744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALAN TEITELBAUM Chief Executive Officer 310-315-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 105461) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-06-12 |