| NPI | 1902113244 |
|---|---|
| Former Legal Business Name | FRESH START PRIVATE |
| Entity Type | Organization |
| Authorized Contact | GEORGE NICHOLAS FALLIERAS Medical Director 714-541-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2013-11-15 |