| NPI | 1972808376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN COLLINS Owner 714-887-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 47248) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |