| 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 |