| NPI | 1013458975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS L HENDRICKS Owner CEO 949-640-9570 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 28839) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |