NPI | 1437545787 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA DESAI Np 714-774-5915 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 275289) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9871) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2015-04-14 |