| NPI | 1114788239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ROSSEL CEO 714-665-9890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |