| NPI | 1528130879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D RIFAT Administrator 619-282-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 090000607) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2016-01-28 |