| NPI | 1376960443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN NIKRAVAN President 949-650-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A80371) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |