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 |