| NPI | 1821498635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE H. WILKER President 310-337-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A100370) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2022-03-10 |