| NPI | 1255195996 |
|---|---|
| Doing Business As | STEP UP ON SECOND -SANTA ANA |
| Entity Type | Organization |
| Authorized Contact | DAVID MARK TAVLIN Chief Program Office 310-985-5250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-02-13 |