NPI | 1770811820 |
---|---|
Entity Type | Organization |
Authorized Contact | ARA SALAZAR Administrator 310-273-8885 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
261QE0800X Clinic/Center, Endoscopy | |
Enumeration Date | 2009-12-01 |
Last Update Date | 2009-12-01 |