| NPI | 1811091374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J. ALLAVIE President 951-686-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 250000356) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-01-24 |