| NPI | 1215269634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-ANGE THI ELLISON Office Manager 714-897-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A37199) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2016-03-29 |