| NPI | 1295067494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BENVENUTI Owner 949-650-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G34385) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |