| NPI | 1235195033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON E. GRAY Chief Administrative Officer 760-940-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2019-09-23 |