| NPI | 1558639815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA CORNEJO Biller 949-364-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A24744) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-19 |