NPI | 1902234230 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY WONG Medical Director 714-771-9252 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G45605) |
Enumeration Date | 2013-10-23 |
Last Update Date | 2013-10-23 |