| NPI | 1578340907 |
|---|---|
| Doing Business As | LAGUNA ALLERGY MEDICAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | GILLIAN BASSIRPOUR CEO, CFO 949-287-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |