NPI | 1780799494 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE BARTON LEWIS Executive Director 714-378-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G34787) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-08-22 |