| NPI | 1770931529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORETTI HO TAGHVA Md 949-945-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A108049) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2026-03-23 |