| NPI | 1881028629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL K OBENG CEO 310-275-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA AAAASF) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-12-31 |