| 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 |