| NPI | 1790186815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERIKA T LAM Assistant Professor 714-516-5479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA RPH 56176) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |