| NPI | 1235542044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ZELNA Office Administrator 714-912-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center, Prison Health (Licence: CA BUS1300797) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |