| NPI | 1629113741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE G VELIZ President 760-489-1876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA AAAHC) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-08-21 |