| NPI | 1679029029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA COLE Doctor 714-388-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 68972) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |