| NPI | 1790081263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MORRIS Director/Incorporator 310-259-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 120013) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2016-12-29 |