| NPI | 1427448174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. HEYDT Chief Executive Officer 714-456-2986 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |