NPI | 1821155599 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN HOWARD WHEELER President / Owner 949-642-1363 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G61174) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2012-05-07 |