| NPI | 1962522912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY J WONG Office Manager 949-387-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: CA 05D1062716) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |