| NPI | 1588668503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BRODY CEO/Administrator 760-837-9210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 250000789) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2020-10-02 |