| NPI | 1114089257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN Y LO Vice President 949-422-2589 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 2425685) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-12-22 |