The
NPI #1639544505 in Brea, California
Provider Information
- NPI Number
- 1639544505
- Entity Type
- Organization
- Organization Name
- The
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 3, 2015
- Last Updated
- Dec 3, 2015
Practice Location
- Address
- 1215 W IMPERIAL HWY STE 101
- City
- Brea
- State
- California
- ZIP Code
- 92821-3738
- Phone
- (714) 680-8335
Authorized Official
- Name
- DR. TRACY ROBINSON, M.D.
- Title
- CHIEF MEDICAL OFFICER
- Phone
- (323) 730-1920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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