| NPI | 1356350896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT W RIDDER Physician And Ownder 949-206-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA a80485) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |