| NPI | 1942335468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN ELAINE VILLEGAS Practice Manager 951-694-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-09-12 |