| NPI | 1518524552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMID REZA FADAVI Chairman, Gove RN Ing Body 949-916-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |