| NPI | 1861680712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD WALID HASSAN Administrator 714-285-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A81858) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A61324) |
| 174400000X Specialist (Licence: CA A61671) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2013-09-24 |