| NPI | 1336266378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT LAI Medical Director 760-564-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 250000744) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2015-04-28 |