| NPI | 1689384356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAIN COPPEL Owner/Managing Member 702-476-9999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |