| NPI | 1124165956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALILA IBARRA Licensing & Credentialing COO Rdinat 714-599-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: CA PHY46869) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-02-27 |