| NPI | 1124322656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MILTON LONGNECKER Owner/Physician 714-577-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A3180) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2011-03-21 |