| NPI | 1518239714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHARLES DUDDEY President 714-377-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA DC21949) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |