| NPI | 1053939140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE SAKIOKA Hr Operations Specialist 949-891-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |