| NPI | 1982951208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENZIE WILBORN Medical Billing Manager 714-751-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA G579120) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |