| NPI | 1821393414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELA ISABEL DOMINGUEZ Owner/President 949-273-6663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA A64090) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-05-13 |