| NPI | 1245775956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIAMAK AGHA-MOHAMMADI Medical Director 949-537-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |