| NPI | 1861836165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KOSINS CEO/President 949-355-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A107134) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |