| NPI | 1447215850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMYAR ASSIL President 805-241-0151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 050000564) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-02-05 |