| NPI | 1841920683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRAM ENAYATI Owner 310-858-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2024-07-10 |