| NPI | 1124187208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JO CLEM Billing And Contracting 714-935-0073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA AAAHC21768) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-07-14 |