| NPI | 1104087089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J FRAIPONT Medical Director 626-795-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G81716) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2010-10-20 |