| 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 |