| NPI | 1780688499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS L BLANKENHORN Office Manager 760-940-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 080000391) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-08-22 |