| NPI | 1346582285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUU DOAN Medical Director 714-500-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A82148) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |