| NPI | 1609800242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS BRINKMAN Executive Assistant 909-260-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |