| NPI | 1407646755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BAKMAN President 714-309-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2026-02-18 |