| NPI | 1457535395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOJAN TALEBZADEH Owner 619-216-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA A064127) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |