| NPI | 1295125482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAN MOWLAVI Managing Member / Owner 949-499-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |