| NPI | 1598344681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZ HAQUE CEO 714-767-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2024-01-08 |