| NPI | 1073664504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL VERGARA President 714-898-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA a52192) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |