| NPI | 1861685331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BANG CEO/Physician 310-659-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A60220) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2007-08-23 |