| NPI | 1831136365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T LEVITAN Owner President 714-539-2912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G25942) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |