| NPI | 1700096005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE B CHISHOLM CEO 760-779-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G81937) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |