| NPI | 1710162870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MARSHBURN CEO/Owner 949-400-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A90111) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |