| NPI | 1922323849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER SOROKURS Medical Director 310-275-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A54193) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2010-04-03 |