| NPI | 1124391974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON R HESS Owner 619-299-7467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A104343) |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |