| NPI | 1073054623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRTIZ J BAUMGARTNER President 714-698-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G55475) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |