| NPI | 1538436274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB O'NEIL VP Of Physician Services 714-578-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21377) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |