| NPI | 1134482177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVINIA KAREN CHONG Chief Medical Officer 949-644-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G68371) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |