| NPI | 1578975561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN E FARRELLY President 714-542-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A121731) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |