| NPI | 1770879165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMID ALEXANDER KHORRAM Medical Director/CEO 310-378-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A48465) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |