| 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 |