| NPI | 1386273100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY SERGEYEV CEO 949-866-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2022-09-23 |