NPI | 1780636811 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON ORNELA Dir Reimbursement 310-829-2664 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 930000437) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2022-07-21 |