| NPI | 1336382126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT DAVID TARLOW Provider 714-772-2210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A28168) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |