| NPI | 1326774340 |
|---|---|
| Former Legal Business Name | OC BREAST WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | JANICE SALMON Director 714-717-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TE1100X Psychologist, Exercise & Sports |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |