| NPI | 1811461338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO FERNANDO SAN BARTOLOME President 714-598-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2020-02-19 |