| NPI | 1295234789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN HUGH BAILEY President 949-650-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A48435) |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2022-10-17 |