| NPI | 1407217235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D. ACACIO Medical Director 949-249-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |