| NPI | 1366747586 |
|---|---|
| Doing Business As | PORTOLA DIRECT PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | CHAI-YUNG J TSAI President 949-346-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2016-08-02 |