| NPI | 1710180989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK HAINES Executive Director 949-824-9416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA Y326259) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2017-09-07 |