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 |