| NPI | 1689339186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY ANDREASEN Director Of Nursing 909-844-5837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |