| NPI | 1285963124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIBORZ LALEZARZADEH President 909-883-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 20A8309) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2022-11-08 |