4-110 INC.
Organization (NPI-2)
Active
Specialist
Provider Information
- NPI Number
1538191838- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1125 E 17TH ST EAST 213, SANTA ANA, CA, 927012201
- Phone
- (714) 543-9788
Specialties & Taxonomies
Specialist
Primary License: CA #PT11203