| 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 |