| NPI | 1821211673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCA CORONA Manager 714-737-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G23113) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A19929) |
| 174400000X Specialist (Licence: CA G12514) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-08-23 |