| NPI | 1922296854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHLA P RAHMATULLAH Provider 949-653-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 00C519930) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2009-12-16 |