| NPI | 1083751143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK J. DRUET President 951-506-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 250000271) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2015-04-24 |