| NPI | 1801055678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN F OSBORNE Owner 310-657-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 002172882-0001-6) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |