| 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 |