| NPI | 1376845057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELA ISABEL DOMINGUEZ President 949-542-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA a64090) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |