| NPI | 1477803542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD CHARLES HU Owner 661-255-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A62305) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |