NPI | 1891782264 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY TANNER Business Administration 714-704-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 060000827) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2020-08-22 |