| NPI | 1730331299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE J SCALES Medical Director 714-889-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G58330) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2009-07-06 |