| NPI | 1346274503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE VALLEJOS Office/Project Manager 714-678-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-07-21 |