| NPI | 1508551946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GORDON Medical Director 858-455-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-10-13 |