| NPI | 1477941078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KEITH GAMBLE Medical Director 714-530-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA A76121) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |