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 |