| NPI | 1689871378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST ROOSEVELT WILLIAMS Medical Director 714-647-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA C42590) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |