| NPI | 1427159383 |
|---|---|
| Doing Business As | CHMG |
| Entity Type | Organization |
| Authorized Contact | DAVID R. ZACHARY Secretary 949-661-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A5020) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA G26491 McGee) |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA G25398 Zachary) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-04-25 |