| NPI | 1558754424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DESAI Nurse Practitioner 714-774-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 9871) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |