| NPI | 1639815129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MICHELLE SALLEE Chief Operating Officer 619-807-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-06-15 |