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 |