| NPI | 1740491422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD FRANK ROSSO Medical Di Rector 310-326-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA g79401) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |