| NPI | 1821362443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SOROKURS President 310-622-5369 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A54193) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A54193) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-04-17 |