| NPI | 1831291665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SHAW Owner 949-552-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G39931) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2012-05-16 |