| NPI | 1053512624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHING Owner 661-833-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000191) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |