| NPI | 1033114764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WOOD President 909-370-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 240000827) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2008-05-06 |