| NPI | 1265869523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREE E COX Administration/Patient Account Mgr 949-432-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA W15163) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2022-10-21 |