| NPI | 1811070964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE KWAN Billing Manager 310-360-3922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA AAAHC) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |