| NPI | 1912210956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD GERLACH President 310-540-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA BUS-0118890) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2011-02-17 |