| NPI | 1326355173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO T. REYES President 714-826-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A50615) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A50588) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |