| NPI | 1043800691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEA WALDBAUM President 714-951-1469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2023-04-18 |