| NPI | 1760517429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW P ORDON Owner 760-568-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 250000785) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |