| NPI | 1700169471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN FOELL Director Of Operations 949-951-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 256324) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |