NPI | 1386856441 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENT M. PRATLEY Vice President 714-543-5005 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA DC24524) |
Additional Taxonomies | 174400000X Specialist (Licence: CA C30241) |
174400000X Specialist (Licence: CA A-91300) | |
174400000X Specialist (Licence: CA A38937) | |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |