| NPI | 1962636928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLY F RAMIREZ-BOYD Owner 714-285-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA G59399) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2013-02-26 |