| NPI | 1982180782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ENAYATI President/Medical Director 310-927-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2018-07-14 |