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 |