| NPI | 1952692782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UTHARA RAJU MOHAN President/Owner 949-646-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A99639) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-10-27 |