| NPI | 1902328115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DAVID CLEVENGER Owner 949-444-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2279P1006X Respiratory Therapist, Registered, Pulmonary Function Technologist (Licence: CA 22729) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-07-21 |