| NPI | 1023899234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE HAWTHORN Business Office Manager 714-234-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2025-08-26 |