| NPI | 1144075904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BEAVERS Owner 949-696-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |