| NPI | 1396334579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS ROSENCRANTZ Medical Director 949-516-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |