| NPI | 1700638814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY WARD CEO 949-536-3927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2025-07-23 |