| NPI | 1619340148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HEYDT Chief Executive Officer 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |