| NPI | 1972055382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAID P DOSS Chairman, Gove RN Ing Body 323-263-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-08-24 |