| NPI | 1639425770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIR M ALI Medical Director 714-484-7361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA NP 18706) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-30 |