| NPI | 1831177567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J TENNANT CEO/Administrator 951-320-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 250000795) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2008-10-09 |