| NPI | 1184836066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT JOHNSON President 949-218-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G69427) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |