| NPI | 1659744175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HEYDT Chief Executive Officer 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |