| NPI | 1295769131 |
|---|---|
| Other Name | 90210 SURGERY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | JANNA L. ESPARZA Director Of Operations 951-699-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: CA 930000805) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-10-12 |