| NPI | 1043268840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI ALLEY Director Credentialing 626-479-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 080000372) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-01-08 |