| NPI | 1922138817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JAMES BRODY Owner 310-837-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 418171) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-02-27 |