| NPI | 1801044078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRAY Director 310-534-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA FNP35839) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-08-29 |