| NPI | 1184234726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN CHANG Cmo 714-501-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2023-10-16 |