| NPI | 1689987521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVIN J KANSAGRA, MD Owner 714-335-8570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A44685) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-08-30 |