| NPI | 1841507282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JW BOYD Owner 714-285-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G59654) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |