| NPI | 1770976359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHYBER ZAFFARKHAN Medical Director 949-438-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 20A9973) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2025-09-04 |