| NPI | 1508078882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ALLEN Registered Nurse 714-362-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 667709) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |