| NPI | 1821207739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIFAAT DOVER SALEM Md/Owner 310-376-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G46242) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2009-01-15 |