| NPI | 1417335001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN HAMILTON Md 949-651-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA NP95001413) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-09-07 |