| 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 |