| NPI | 1841620689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY PRICE Registered Nurse 714-647-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2400X Clinic/Center Prison Health (Licence: CA 477190) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |