| NPI | 1386638989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPAK DESAI President/Member 702-733-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NV 2508ASC6) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-08-22 |