| NPI | 1720702491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA P HOST Chief Executive Officer 949-282-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2022-09-27 |