| NPI | 1144969809 |
|---|---|
| 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 | 2022-06-01 |
| Last Update Date | 2022-06-01 |