| NPI | 1801205703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIN M LEW President 714-526-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA AFE22445) |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: CA AFE22445) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |