| NPI | 1538589296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY W PRIBRAM Dr 949-494-8420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A24152) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |