| NPI | 1932413176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOMAN MAHALLATI Medical Director 714-708-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 3919) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |