| NPI | 1992943666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSYA BRANOVAN Owner 714-522-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA FNP21284) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |