| NPI | 1255754693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. HEYDT Sr. Assoc. Dean, Clinical Affairs 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |