| 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 |