| NPI | 1326584236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XANTHE VICTORIA CEO 714-735-8762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A94865) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |