| NPI | 1144564469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A HEYDT Chief Executive Officer 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 060000148) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |