| NPI | 1043636038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON NGUYEN Medical Director/ Owner 949-574-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |