| 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 |