| NPI | 1972855203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN SHAW Director Of Operations 714-821-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: CA 30-66472-69377437) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 30-66472-6937437) |
| 261QA3000X Clinic/Center, Augmentative Communication (Licence: CA 30-66472-69377437) | |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 30-66472-6937437) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA 30-66472-6937437) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2026-03-13 |