| NPI | 1215097142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P BLUM President 714-772-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA Bus1998002520) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-04-13 |