NPI | 1184805590 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMENIC SIGNORELLI Medical Director 714-539-2279 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A255480) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2009-01-27 |