| NPI | 1699703991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ONTIVEROS Administrator 626-289-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 31325) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-03-28 |