| NPI | 1316070915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE CONTRERAS Office Manager 714-771-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |