| NPI | 1952183360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DAVID FOSTER Medical Director / Shareholder 562-380-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |