| NPI | 1790909117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S SHAWA President 310-626-8037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C52232) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-10-09 |