| NPI | 1811246796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KUPFERMAN Medical Director 310-842-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A97977) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |