| NPI | 1902008295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENORE M. SIKORSKI Owner 949-448-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A49424) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-01-27 |