| NPI | 1124229554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHOSROW MAHDAVI President 949-642-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: CA a33589) |
| Additional Taxonomies | 261QX0200X Clinic/Center, Oncology (Licence: CA a33589) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |