| NPI | 1669796124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JEAN OCONNOR President 949-412-7482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 266184) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |