| NPI | 1619909819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA KRAMER JESSE Office Manager 714-996-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A39932) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |