| NPI | 1790109312 |
|---|---|
| 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 |