| NPI | 1386235125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JOHN GEORGIO Chief Medical Officer 714-315-4253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2023-11-03 |