| NPI | 1851705818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO PEREZ Administrator 714-541-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA AA1429251) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |