| NPI | 1306971262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE SUE PERCY Corporation Officer 714-671-2936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G77388) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |