NPI | 1790109312 |
---|---|
Former Legal Business Name | ABDULLAH J KHALIL SOLE MBR |
Entity Type | Organization |
Authorized Contact | ABDULLAH J KHALIL Owner 310-385-8601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 104151) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2014-02-18 |