| NPI | 1477803724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P TAHERI CEO 661-388-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 3493924) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-10-02 |