| NPI | 1467842377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. HEYDT Chief Executive Officer 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |