| NPI | 1225373590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL WILLIAM BUCKHORN President 714-871-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA G73630) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |