| NPI | 1972707123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS ACKERMAN Owner 949-759-3284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA G47825) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |