NPI | 1043368269 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIO CRUZ President 714-952-9541 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 40566) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2020-08-22 |