| NPI | 1508749664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAMA SOUDAH Owner 714-476-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QX0200X Clinic/Center, Oncology | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |