| NPI | 1376326157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAI MATHEW THANKACHEN Medical Director 714-782-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 133N00000X Nutritionist | |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2026-07-15 |