NPI | 1972712511 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE HOWARD STEVENS Vice President 310-556-1003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 2891180) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |