| NPI | 1235432493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L WELLS Assistant Office Manager 949-661-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G50298) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2012-04-24 |