| NPI | 1003764085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLIA TERRELL-VERNON COO 714-713-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-03-17 |