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 |