NPI | 1871979435 |
---|---|
Entity Type | Organization |
Authorized Contact | MANUEL PORTO President And Chief Executive 714-456-2986 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2015-08-06 |
Last Update Date | 2015-10-23 |