| NPI | 1841662061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY HELEN BEATIFICATO Owner/Operator 949-214-8618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |