| NPI | 1629299060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHRISTOPHER KOCKINIS Director 714-596-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A40769) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2018-03-01 |