NPI | 1760987374 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL BARRETT Md/CEO 310-598-2648 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A110166) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-03-26 |