| NPI | 1467725846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO CARBAYO Owner 714-667-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G79962) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2018-11-21 |