NPI | 1053463984 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT MARTIN WALD Physician 714-738-4282 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 060000459) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |