| NPI | 1225149222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C. BENT COO 949-494-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 596420) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-09-24 |