| NPI | 1982043428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZIN S AL-HAKEEM Medical Director 909-373-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |