NPI | 1770839086 |
---|---|
Entity Type | Organization |
Authorized Contact | LORENA A POST Clinical Director 714-838-2115 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA SP5043) |
Enumeration Date | 2012-07-24 |
Last Update Date | 2012-07-24 |