| NPI | 1508662743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANA FARRAR Accreditation Coordinator 949-337-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2026-05-18 |