| NPI | 1841748209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER F BOTROS Owner 714-530-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 45093) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |