| NPI | 1457803157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN PLUIMER Office COO Rdinator 949-645-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA G14693) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: CA G14693) |
| 284300000X Special Hospital (Licence: CA G14693) | |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |