| NPI | 1750438511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLY FRANCINE RAMIREZ-BOYD Owner 714-633-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA G71922) |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: CA G59399) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2009-04-29 |