| NPI | 1881098101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW W HESSELTINE CEO / Medical Director 909-887-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-01-19 |