| NPI | 1215751169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVUNI HARRISON Billing Administrator 909-710-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-11-07 |
| Last Update Date | 2024-11-07 |