| NPI | 1124068549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAMES GRAY Admi MIS Trator 949-348-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-09-28 |