| NPI | 1851429716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE LYNNE HANSON Director Business Services 714-663-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2022-07-21 |