| NPI | 1477387793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE COX Administrator/Access Manager 949-664-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-08-28 |