| NPI | 1386043156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARISH HEGDE President 714-995-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 31061) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |