| NPI | 1922477900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHANG T NGUYEN Manager 858-457-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A90876) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2016-02-09 |