| NPI | 1356616064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK EDWARD SZCZESNIAK Administrator 951-736-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2020-06-01 |