| NPI | 1811754690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEDRAK Owner 310-728-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 261QR0200X Clinic/Center Radiology | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-04-05 |