| NPI | 1285735936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GREGORY VOGT Administrator 951-686-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-12-11 |