| NPI | 1891870986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG STEVEN ROSENBLUM Owner 760-568-5381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 250000771) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |