| NPI | 1629257860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MARK WEISENTHAL Medical Director 714-596-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0662326) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-01-08 |