| NPI | 1770822553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK DU Vice President 714-912-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP22816) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-12-18 |