| NPI | 1760268940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA SODHA Owner 714-944-8105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-06-19 |