| NPI | 1336113489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEENA CHARU President/ Owner 714-999-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A45465) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-01-30 |