| NPI | 1942469226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH FOWLER Administrative Director 949-458-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-01-09 |