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 |