| NPI | 1477912574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL WILLIAMS Principle 714-833-2472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: CA 52007) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |