| NPI | 1407932619 |
|---|---|
| Other Name | PACIFIC EYE INSTITUTE AMBULATORY SURGERY CTR |
| Entity Type | Organization |
| Authorized Contact | DENISE DESALVO Administrator 909-982-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 240000525) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2015-09-11 |