NPI | 1538576806 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTELEI A PENULIAR President 714-461-1419 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 4941) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15421) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |