| NPI | 1821375502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JAY RISPLER President 310-648-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA BL-24936) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |