| NPI | 1265872402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIGI KROLL President 949-706-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A067963) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |