| NPI | 1891999785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY CASTANEDA Administrator 562-803-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G51854) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G82333) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2016-03-02 |