| NPI | 1952534729 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | ARAMINTA E SALAZAR Administrator 310-273-8849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A84519) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |