| NPI | 1558527473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALLEN HUBBARD President 949-230-8024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: IL 038011145) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-12-18 |