| NPI | 1518203678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL GOMEZ Owner 714-853-9312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA BG5423796) |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2012-12-18 |