| NPI | 1558717686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL G DE PERIO Owner/President 949-463-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A43710) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2016-05-07 |