| NPI | 1497046064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK BERNARD GIACOBETTI CEO 714-285-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 425960) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |