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 |