| NPI | 1629803192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE M CAGLEY Billing Manager 714-421-9316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261Q00000X Clinic/Center | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |