| NPI | 1134669674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ROSE SIANI Owner 949-743-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA ND-447) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |