| NPI | 1689811069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAISHALI SANJAY DESHMUKH Office Manager 714-543-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A65424) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |