| NPI | 1386693224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MASAO TOKITA Medical Director 949-417-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA G18258) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2022-08-01 |