| NPI | 1295542207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA SERDA Director 951-506-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-16 |