| NPI | 1265646699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORSTEN J KRUSE President 949-366-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A75928) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-11-08 |