NPI | 1700772142 |
---|---|
Entity Type | Organization |
Authorized Contact | WEIMING DAVID CHU CEO 714-543-5609 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-06-13 |
Last Update Date | 2025-06-13 |