| NPI | 1528465762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES STIRBL Administrator 949-355-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A30481) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2020-09-01 |