| NPI | 1285229336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABEEN MUNIB Md 949-647-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-08-20 |