| NPI | 1023091899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN DERR Manager Outreach Clinics 714-289-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 546154) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2020-08-22 |