| NPI | 1457696650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN SZARZYNSKI Office Manger 909-981-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 29061) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |