| NPI | 1790336774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAN S. CHAKRABARTY Medical Director 951-652-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2019-09-22 |
| Last Update Date | 2019-09-22 |