| NPI | 1366841090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL ANAIM Administrator 714-739-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 25277) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |