| NPI | 1104276393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL PORTO Chief Executive Officer 714-456-8721 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |