| NPI | 1558770818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY REYES CEO 714-490-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2023-04-28 |