| NPI | 1861579740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T KAN Medical Director 949-222-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05B1053352) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |