| NPI | 1639613128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAYED MONIS CEO 760-351-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A101939) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2018-02-27 |