| NPI | 1811375488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNNE MACDONALD CFO 714-384-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246W00000X Technician, Cardiology |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |