| NPI | 1619926755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUJ GUPTA Medical Director 619-330-8771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 080000475) |
| Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2022-07-21 |