NPI | 1417201153 |
---|---|
Entity Type | Organization |
Authorized Contact | RAFAEL PENUNURI Medical Director 714-541-6009 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: CA G50737) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2012-11-02 |