| NPI | 1053683797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN K TAYEBI Md 858-354-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A51498) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |