| NPI | 1962876888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARICK K. SMAILI Medical Director 310-490-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 75774) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |