| NPI | 1366857377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENIVASA RAO NAKKA Owner/President 951-929-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 543686) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2016-01-12 |