NPI | 1700180957 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT H LEE Medical Director 949-552-9628 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A41465) |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-04 |