| NPI | 1720129893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OM P CHAURASIA President 949-365-8836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 060000855) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2015-06-03 |