| NPI | 1962102491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEN VO Chairman, Gove RN Ing Body 760-336-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2023-03-03 |