| NPI | 1629497284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREAS GOMAROONI Manager 949-599-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: KS 1-15498) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |