NPI | 1538344189 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ALLAN DEVEREAUX President 714-957-9389 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A31475) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2008-02-06 |