| NPI | 1932275054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN N BROURMAN Governing Body 310-289-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 261QA1903x) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-06-02 |