| NPI | 1376326157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAI MATHEW THANKACHEN Medical Director 714-782-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 133N00000X Nutritionist |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2026-02-05 |