| NPI | 1710081443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESU N LIN Medical Director/Cms Authorized Off 805-641-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 50000592) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2011-07-11 |