| NPI | 1013048826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNA KHAZAELI Phn 760-740-4291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 548889) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |