| NPI | 1053616706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL A DUPLECHAN Chief Administrative Officer 714-347-7790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 261QR0200X Clinic/Center Radiology |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2025-03-17 |