| NPI | 1942656954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA EDGE Founder/Director 949-220-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D2080278) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |