| NPI | 1144659228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA CASTROMAYOR President 714-408-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-12-10 |