| NPI | 1508158486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON LEON Managing Director 949-252-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA n/a) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2011-05-10 |