| NPI | 1881170108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA SERDA Owner 661-472-4177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2024-08-27 |