| NPI | 1457324857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELGASH DOSKY COO 949-644-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 060000533) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-04-26 |