| NPI | 1396558680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SAMANTHA LAYSON Owner 714-744-5985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-03-14 |