| NPI | 1306153382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHLA HESHMATI President 949-726-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A50416) |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2010-09-11 |