| NPI | 1912393737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY RAYMOND LERCEL Medical Director 626-298-3123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |