| NPI | 1841588084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CHAU DIEP Clinical Director 714-539-6207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA SP12385) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: CA SP12385) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |