NPI | 1013962521 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISALA RAMOS Office Mgr 949-515-1040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 060000957) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2020-08-22 |