| NPI | 1982147039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL KAPOOR Medical Director 310-913-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A82791) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |