| 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 |