| NPI | 1811986268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FOSTER Business Manager 949-548-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2023-03-07 |