| NPI | 1417685355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL ARTURO PENUNURI Md 714-784-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2022-08-09 |