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 |