| NPI | 1245080514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JONES Director Of Business Operations 951-764-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |