| NPI | 1619165040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M SMITH-ARDREY Director Of Operations 949-421-0709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20a7269) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-25 |