| NPI | 1821762329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN JONES Director Of Business Operations 951-764-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |