NPI | 1518592021 |
---|---|
Entity Type | Organization |
Authorized Contact | INDRANEEL CHAKRABARTY President 951-501-4251 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
Enumeration Date | 2020-03-04 |
Last Update Date | 2022-05-06 |