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 |