| NPI | 1356752950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL SERCARZ Owner 949-554-8276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G62176) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-08-13 |