| NPI | 1982409801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD REZA AHMADINIA Medical Director 760-946-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-02-14 |