| NPI | 1154554160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER K NAHM CEO 858-278-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A78569) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2023-03-08 |