| NPI | 1841451358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE ELIZABETH SHERMAN Owner/Partnership 714-348-6126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2009-01-02 |