| NPI | 1154056638 |
|---|---|
| Former Legal Business Name | LAUREN PATTY |
| Entity Type | Organization |
| Authorized Contact | LAUREN PATTY CEO 949-720-8098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-03-29 |