| NPI | 1790885895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDAYA DESILVA Medical Director 661-206-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 5500000201) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |