NPI | 1659568723 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY CHEUKMAN LEE President 949-733-1336 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A055074) |
Enumeration Date | 2007-10-02 |
Last Update Date | 2007-10-02 |