NPI | 1073909859 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK BAILEY VU Physician 949-600-1907 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA FNP544683) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2015-04-08 |
Last Update Date | 2015-09-22 |