NPI | 1366858615 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA GARFINKLE Physician 949-495-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 20A12878) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 20A12878) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2014-07-08 |