| NPI | 1730615477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYMRY HART FOWLER Clinical Director 949-374-4868 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 17425) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |