NPI | 1972694487 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA BENKE CASSILETH Medical Director 310-278-8200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-08-22 |