| NPI | 1326451428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KLEIN Owner/Member 714-651-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA OP 60305926) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |