| NPI | 1700180957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT H LEE Medical Director 949-552-9628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA A41465) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-04 |