| NPI | 1598276404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S NAMAZY Medical Director & AO 619-582-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2022-12-05 |