NPI | 1285907188 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERI ALLEY Director, Credentialing 626-479-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2012-02-23 |
Last Update Date | 2025-08-05 |