| NPI | 1528383510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIL Q. GALLOWAY Owner 760-635-9185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G083314) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2019-08-21 |