| NPI | 1386977296 |
|---|---|
| Doing Business As | PASSPORT HEALTH |
| Entity Type | Organization |
| Authorized Contact | LYNDA COOPER Director 714-258-7196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |