NPI | 1588203988 |
---|---|
Entity Type | Organization |
Authorized Contact | DANTE CERVANTES Medical Staff Services Specialist 909-277-2420 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
Enumeration Date | 2020-01-02 |
Last Update Date | 2023-02-15 |