| NPI | 1629362140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BONIS Medical Director 714-352-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA FNP41445) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |