| NPI | 1386930162 |
|---|---|
| Doing Business As | 90210 SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | RENATO CALABRIA Owner 760-836-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A43041) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |