| NPI | 1114113909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA QUEZADA O.R Supervisor 661-260-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S051533) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |