| NPI | 1831109875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNA JOHN SHAMMAS Owner 310-638-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S551041) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-03-17 |