| NPI | 1700114303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALICE ARMSTRONG Owner 949-706-2887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA C1202500) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2020-10-30 |