| NPI | 1801384987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANA FARRAR Accreditation Coordinator 949-337-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A112498) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |