| NPI | 1093084881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD GOSTANIAN Physician 949-640-4650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A22986) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |