| NPI | 1932520590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DIETRICH Medical Director 310-553-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |