| NPI | 1982325916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL MAGANA Director Of Operations 424-220-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |