| NPI | 1881058246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVRO GAON President 949-640-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 1739) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |