| NPI | 1316231020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NGUYEN Chief Medical Officer 760-946-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA bsl11-01505) |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2013-05-20 |