| NPI | 1326482225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW R. MCINTOSH Owner 949-249-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2472E0500X Technician, Other, EEG (Licence: CA A85055) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |