| NPI | 1417208141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL LEW Owner 714-813-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2023-01-24 |