| NPI | 1093642951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CHONG Owner 714-623-7422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD0000X Clinic/Center, Dental | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-05 |