NPI | 1780901520 |
---|---|
Entity Type | Organization |
Authorized Contact | ABRAHAM EBBIE SOROUDI Medical Director 310-474-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2010-05-03 |
Last Update Date | 2022-06-17 |