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 |