| NPI | 1700596541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL TRUJILLO PEREZ Nurse Practitioner 714-931-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |