| NPI | 1265689335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ZAZUETTA Insurance Billing Representative 714-547-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A68851) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2015-02-09 |