| NPI | 1972909927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE RAMIREZ Operations Supervisor 714-835-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G86364) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |