| NPI | 1558636548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EARL STOUFFER Incorporator 714-827-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G66916) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |