| NPI | 1437025061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY P SERGEYEV CEO 949-276-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |