| NPI | 1427789841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERON BARKATAKI President 949-378-8445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| 261QC1500X Clinic/Center, Community Health | |
| 163WW0000X Registered Nurse, Wound Care | |
| 251E00000X Home Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261Q00000X Clinic/Center | |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QE0002X Clinic/Center, Emergency Care | |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2025-10-03 |