| NPI | 1548697311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE B. PASTRANA President 714-525-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA G75347) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |