| NPI | 1760924005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEENETH B HUGHES Medical Director 310-275-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |