| NPI | 1154805240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMSHID SHADJAREH Chairman, Governing Body 714-462-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |