| NPI | 1376344002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMELIA BENNANI CEO 949-942-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2025-03-19 |
| Last Update Date | 2025-03-19 |