| NPI | 1740042662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE H COX Administrator 949-664-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |