NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104205400 |   |   |   | RESIDENTIALIST HOUSECALL MED GRP, PC A PENNSYLVANIA CORP | 23181 VERDUGO DR | LAGUNA HILLS | CA | 926531357 |
1609109024 | SMITH | TRACY | MARIE |   | 260 CALLE CAMPESINO | SAN CLEMENTE | CA | 926724553 |