| NPI | 1821536343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO P MACIAS President 951-359-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A86739) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |