| NPI | 1063290260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELOCHUKWU OSOEGO Owner 949-696-6157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-21 |