| NPI | 1861614042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY NGUYEN Office Administrator 714-596-4593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2022-07-21 |