NPI | 1679631279 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE SEXTON Administrative Director 949-458-3551 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 060000309) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |