| NPI | 1053652081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE S LYN Registered Nurse 714-553-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NY 22664526) |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |