| NPI | 1841329836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLAN HESTRIN President 310-903-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G062996) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |