| NPI | 1972600765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMRON MALEKI President 805-496-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA a36282) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |