| NPI | 1255620522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM RAZI President 949-273-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A101725) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2015-04-17 |