| NPI | 1114249620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLETA M DE JESUS Practitioner 714-948-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CA A48057) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2016-01-11 |