| NPI | 1174258602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVAIK TYAGI Chairman, Governing Body 661-579-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-09-23 |