| NPI | 1780731968 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | YERA TOLEDO Credentialist 714-841-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |