| NPI | 1588458335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LOVE CEO 949-873-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-08-27 |