| NPI | 1205142890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINA ARCHULETA Director 714-437-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA FNP33050) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |