NPI | 1194855486 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL M KHATIBI Medical Director 714-968-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA FNP21643) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2010-08-17 |