| NPI | 1508139676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ANDERSON Proprietor/Medical Director 951-268-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A90631) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2024-08-06 |