| NPI | 1205161395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLAS V CHUGAY Medical Director 562-595-8507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 16520 AAAHC,INC) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2011-08-05 |