| NPI | 1679801757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR SELVAN Corporation Owner 714-543-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G364760) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |