| NPI | 1265986145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASER M ELBALALESY President 949-837-7322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A73709) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |