| NPI | 1003001991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER EUGENE LOSCIALPO Owner 714-378-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: CA A24510) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-26 |