| NPI | 1962986281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE GRAY Medical Direc 714-274-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2019-09-11 |