| NPI | 1518107937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OM P CHAURASIA Member Board Of Directors 949-900-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2015-06-03 |