| NPI | 1497167696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA G THOMAS Owner 714-968-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A115473) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2014-10-28 |