| NPI | 1215007075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA BERMUDEZ EDGLEY Associate Director 714-667-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA 510443626) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |