| NPI | 1760533830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELLIOTT KRIEGER Administrator 661-255-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA S051181) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-10-15 |