| NPI | 1194274811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTH JORGENSEN Financial Services Director 949-240-2030 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 060000060) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |