| NPI | 1053852236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD NEAL Owner 714-790-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A91820) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-10-24 |