| NPI | 1265014781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSAD MICHAEL MOHEIMANI Medical Director 714-285-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |