| NPI | 1629452131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA HUANG Owner 949-393-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 110931) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 110931) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-23 |