| NPI | 1457657140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS M AHDOOT President 949-453-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CA A67668) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |