| NPI | 1437592169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON J MADORSKY Medical Director 949-200-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 3506862) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2017-05-11 |